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General NPI Number Information
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NPI Number | 1922122571
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Entity Type | Organization
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Legal Business Name | BASTIAN VOICE INSTITUTE, LLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 3010 HIGHLAND PKWY STE 250
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5545
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Country | US
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Telephone | 630-724-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 HIGHLAND PKWY STE 250
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5545
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Country | US
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Telephone | 630-724-1100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT BASTIAN
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Credential |
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Telephone | 630-724-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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